American Journal of Obstetrics & Gynecology
Volume 196, Issue 4 , Pages 405.e1-405.e8 , April 2007

The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries

  • Geoffrey W. Cundiff, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD
    • Corresponding Author InformationCorrespondence and Reprints: Geoffrey Cundiff, M.D., 1081 Burrard St, Vancouver, BC V6Z 1Y6 Canada, Phone (604)806-8166, Fax (604)875-2987
    • ,
  • Cindy L. Amundsen, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Duke University Medical Center, Durham, NC
    • ,
  • Alfred E. Bent, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Dalhousie University School of Medicine, Halifax, NS, Canada
    • ,
  • Kimberly W. Coates, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Dalhousie University School of Medicine, Austin, TX
    • ,
  • Joseph I. Schaffer, MD

      Affiliations

    • Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX
    • ,
  • Kris Strohbehn, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
    • ,
  • Victoria L. Handa, MD

      Affiliations

    • Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, MD

References 

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  2. Woodman PJ, Swift SE, O’boyle AL, Valley MT, Bland DR, Kahn MA, et al. Prevalence of severe pelvic organ prolapse in relation to job description and socioeconomic status: a multicenter cross-sectional study. Int Urogynecol J Pelvic Floor Dysfunct. 2005;1–6
  3. Luber KM, Boero S, Choe JY. The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol. 2001;184:1496–1501discussion 1501-3
  4. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–506
  5. Thakar R, Stanton S. Management of genital prolapse. BMJ. 2004;324:1258–1262
  6. Sulak PJ, Kuehl TJ, Shull BL. Vaginal pessaries and their use in pelvic relaxation. J Reprod Med. 1993;38:919–923
  7. Clemons JL, Aguilar VC, Tillinghast TA, Jackson ND, Myers DL. Risk factors associated with an unsuccessful pessary fitting trial in women with pelvic organ prolapse. Am J Obstet Gynecol. 2004;190:345–350
  8. Clemons JL, Aguilar VC, Tillinghast TA, Jackson ND, Myers DL. Patient satisfaction and changes in prolapse and urinary symptoms in women who were fitted successfully with a pessary for pelvic organ prolapse. Am J Obstet Gynecol. 2004;190:1025–1029
  9. Mutone MF, Terry C, Hale DS, Benson JT. Factors which influence the short-term success of pessary management of pelvic organ prolapse. Am J Obstet Gynecol. 2005;193:89–94
  10. Hanson LA, Schulz JA, Flood CG, Cooley B, Tam F. Vaginal pessaries in managing women with pelvic organ prolapse and urinary incontinence: patient characteristics and factors contributing to success. Int Urogynecol J Pelvic Floor Dysfunct. 2005;
  11. Pott-Grinstein E, Newcomer JR. Gynecologists’ patterns of prescribing pessaries. J Reprod Med. 2001;46:205–208
  12. Cundiff GW, Weidner AC, Visco AG, Bump RC, Addison WA. A survey of pessary use by members of the American Urogynecologic Society. Obstet Gynecol. 2000;95:931–935
  13. Weber AM, Abrams P, Brubaker L, Cundiff GW, Gary Davis G, Dmochowski RR, et al. The standardization of terminology for researchers in female pelvic floor disorders. Int Urogyn J. 2001;12:178–186
  14. Moher D, Schulz KF, Altman DG. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet. 2001;357:1191–1194
  15. Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17
  16. Brink C, Wells T, Sampselle CM, Tallie ER, Mayer R. A digital test for pelvic muscle strength in women with urinary incontinence. Nurs Res. 1994;43:352–356
  17. Barber MD, Kuchibhatla MN, Pieper CF, Bump RC. Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders. Am J Obstet Gynecol. 2001;185:1388–1395
  18. Sloan JA, Cella D, Hays RD. Clinical significance of patient-reported questionnaire data:another step towards consensus. J Clin Epid. 2005;58:1217–1219
  19. Weber AM, Richter HE. Pelvic organ prolapse. Obstet Gynecol. 2005;106:615–634
  20. Ellerkmann RM, Cundiff GW, Melick CF, Nihira MA, Leffler K, Bent AE. Correlation of symptoms with location and severity of pelvic organ prolapse. Am J Obstet Gynecol. 2001;185:1332–1338

 Cundiff GN, Amundsen CL, Bent AE, et al. The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries. Am J Obstet Gynecol 2007;196:405.e1-405.e8.

PII: S0002-9378(07)00252-9

doi: 10.1016/j.ajog.2007.02.018

American Journal of Obstetrics & Gynecology
Volume 196, Issue 4 , Pages 405.e1-405.e8 , April 2007

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